Organization Active NPI

Urology Care Clinic LLC

  • Urology Physician
  • Tucson, AZ
National Provider Identifier
1467021121
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY CARE CLINIC LLC
Practice address
6001 E Grant Rd
Tucson, AZ 85712-2316
Phone
(520) 497-5010
Fax
(520) 497-4111
NPI assigned
Jun 17, 2021
Last updated
Mar 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marissa Nunez
Title
Administrator
Phone
(480) 321-9887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

6001 E Grant Rd
Tucson, AZ 85712-2316

Mailing address

6001 E Grant Rd
Tucson, AZ 85712-2316
Phone (520) 497-5010

Other identifiers 1

IdentifierTypeStateIssuer
1235573742MedicaidAZ

Other names 1

  • UROLOGY CARE CLINIC Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2228919Santacruz Urology Care Clinic LLC6001 E Grant Rd, Tucson, AZ 85712Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1467021121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122316",
            "telephone_number": "520-497-5010",
            "fax_number": "520-497-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122316",
            "telephone_number": "520-497-5010",
            "fax_number": "520-497-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-321-9887",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235573742",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UROLOGY CARE CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UROLOGY CARE CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.